• Title, Summary, Keyword: Climacteric symptom

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A Study on the Relationship between Climacteric Symptom, Depression and Coping among Middle-Aged Women (중년여성의 갱년기 증상, 우울과 대처와의 관계)

  • Choi, Kwang-Sim;Oh, Hyun-Ei;Shim, Chung-Sin
    • Journal of agricultural medicine and community health
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    • v.33 no.3
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    • pp.335-345
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    • 2008
  • = ABSTRACT = Objectives: The purpose of this study were to examine the level of climacteric symptom, coping and depression among middle-aged women and to identify the relationship between climacteric symptom, coping and depression. Methods: A descriptive correlational study was conducted. The participants were 275 middle-aged women visiting obstetrics and gynecology hospital in one metropolitan city. Data were collected using a self-administered questionnaire. Descriptive statistics, ANOVA and Pearson correlation were used for data analysis. Results: The mean climacteric symptom score was .54, the mean depression score was .74 and the mean coping score was .35. The level of climacteric symptom, depression and coping were slightly lower than those of other studies. There were positive relationships between climacteric symptom and depression and between climacteric symptom and coping. Conclusions: To promote physical and emotional health of middle-aged women, more attention is necessary to decrease their climacteric symptom and depression. These results can be used for nursing intervention and care programs for creating better quality of life for middle-aged women.

A Comparative Study on Climacteric Symptom and Health Behavior in Climacteric Women according to Hormone Replacement Therapy(HRT) (호르몬 대체요법실시 갱년기 여성과 비실시 여성의 갱년기 증상과 건강행위 비교)

  • Lim Hyun Ja
    • Journal of Korean Public Health Nursing
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    • v.17 no.2
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    • pp.224-237
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    • 2003
  • Purpose : This study was designed to describe the relationship on climacteric symptom and health behavior according to hormone replacement therapy (HRT) in climacteric women. Method : Data were collected through self-reported questionaries which were constructed to include a climacteric symptom and health behaviors of climacteric women. The subjects for this study were 135 climacteric women between 45-65 years of age living in Kuri city. Among them. 65 were in the experimental group and the other 70 were in the control group. The data were analyzed by descriptive statistics, t-test, $x^2-test$, ANOVA, and Pearson Correlation Coefficient. Results : The results were as follows 1) There was no significant difference on the climacteric symptom between the group of women receiving HRT and those who did not (t=1.973, p=0.162). 2) The mean health behavior score for the group of women receiving HRT was significantly higher than those who did not(t=2.557, p=0.042). 3) The climacteric symptom and health behavior were positively correlated (r=.289, p=0.015) in women receiving HRT, while these were negatively correlated (r=-.242, p=0.043) in women without HRT. 4) Women in the HRT group showed higher climacteric symptom than the those In the control group in most items. 5) The mean score for health behavior was 2.76 in the hormone replacement therapy group and 2.35 for the control group. 6) For women in the experimental group, climacteric symptom was significantly different by the level of education (F=7.371, p=.001). 7) For women in the control group, climacteric symptom was significantly different by the number of children (F=2.873, p=.044), the level of education (F=5.616, p=.006), the number of abortion (F=3.231, p=.015), and the status of menstruation (F=4.129, p=.020). 8) For women in the experimental group, health behavior was significantly different by the level of education (F=7.351, p=.001), frequency of exercise (F=8.106, p=.000), and the status of menstruation (F=3.446, p=.032), 9) For women in the control group, health behavior was significantly different by frequency of the exercise (F=7.381, p=.001). Conclusion : This study results indicated that there was no association between the HRT and climacteric symptoms, while there was positive correlations between the HRT and health behavior. Therefore. it is assumed that HRT increases the positive health behavior of women.

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A Study on the Relationship between Climacteric and Depressive Symptoms in Middle Aged Women in an area (일개지역 중년 여성의 갱년기 및 우울증상과의 관계 연구)

  • Lee, Kyung-Soo;Kang, Gyung-Won
    • Journal of Korean Clinical Health Science
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    • v.6 no.2
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    • pp.1171-1179
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    • 2018
  • Purpose. The purpose of the project is to provide basic data to help middle aged women manage their health by identifying their relationships with Climacteric and depression patients and studying ways to properly overcome the changes in the Climacteric Methods. After distributing the questionnaire to women who were approved for middle-aged women in one region from April 14, 2017 to May 1, 2017 a total of 138 sections were collected and 130 copies were used as research and analysis data, excluding eight inappropriate ones Results. The average score for Climacteric was 1.53 out of 2 points on average for Climateric symptoms, and depression was 10.74 out of 60 points. There were three analysis of Climacteric symptoms: physical symptoms, mental symptoms, and sexuality, and a large number of symptoms were reported as physical symptoms with 1.56 points Conclusions. A program of measures to reduce depression in middle-aged women requires active social attention and support to alleviate menopausal symptoms, and further research is needed to determine the relationship between these concerns and support for depression.

Effects of Foot Reflexology Massage on Climacteric Symptom, Fatigue and Physiologic Parameters of Middle Aged Women (발반사마사지가 중년여성의 갱년기 증상, 피로 및 생리지수에 미치는 효과)

  • Lee, Yun Mi
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.284-292
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    • 2006
  • Purpose; This study was aimed to identify the effect of foot reflexology massage on climacteric symptom, fatigue and physiologic parameters of middle-aged women. Method; A non-equivalent pretest-posttest experimental design was used. Participants were recruited from the Community Health Center in Busan, Korea. Forty participants were assigned to either an experimental group(20) or a control group(20). Foot reflexology massage was administered twice a week for 6 weeks in the participant in experimental group. Results: There were statistically significant differences in climacteric symptom, fatigue, total cholesterol and cortisol level. However, there were no statistically significant differences in triglyceride, high density lipoprotein and low density lipoprotein. Conclusion; These results suggest that foot reflexology massage could be utilized as an effective nursing intervention to reduce climacteric symptom and fatigue in middle-aged women.

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Relationship between Obesity, Social Readjustment Rating, Self-Esteem, Eating Attitude, Depression, Stress Response and Climacteric symptom in Korean Peri-menopausal Overweight Women (한국 과체중 갱년기 도시 여성의 비만도, 일상생활 스트레스, 자존감, 식이태도, 우울증, 스트레스 반응척도와 갱년기 증상의 연관성)

  • Chung, Won-Suk;Kim, Sung-Soo;Hwang, Deok-Sang;Hwang, Mi-Ja;Song, Mi-Yeon
    • Journal of Korean Medicine for Obesity Research
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    • v.8 no.1
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    • pp.71-80
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    • 2008
  • Objectives Obesity and climacteric symptom are affected by various cultural, social and psychological factors. This study is performed to recognize the relationship between obesity, climacteric symptom, and other social and psychological factors such as self-esteem, depression, eating attitude, stress response and social readjustment rating. Methods SRRS(social readjustment rating scale), SES(self-esteem scale), SRI(stress response inventory), BDI(Beck depression inventory), KEAT-26 (Korean Eating Attitude Test-26) and Kuperman index were given to 43 peri-menopausal women aged 45-55 and BMI ${\geq}23$. They were given written consent and this study is performed under the permission of institutional review board of Kyung Hee East-west Neo Medical Center. And height, body weight, waist circumference were measured. These variables were treated by correlation and regression analysis for finding effect factors of climacteric symptom. Result BMI and WC were not related to climacteric symptom. There were significant correlation between KEAT-26(r=0.4388, p=0.004), SES (r=-0.4748, p=0.001), SRI(r=0.6941, p<0.001), BDI(r=0.6354, p<0.001) and Kuperman index. In multiple regression, SRI was find to be a prediction factor of Kuperman index.(Kuperman index=19.033+0.7SRI($R^2$=0.490)). Conclusion Climacteric symptom is related to self-esteem, eating attitude, depression and stress response. And the most important prediction factor of climacteric symptom is stress response. So managing of stress response may be essential to treating climacteric syndrome. And it is necessary to study about climacteric symptom with many other effective factors of various peri-menopausal subjects.

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The Effects of Estrogen Replacement Therapy on Blood Pressure, Heart Rate Variability, and Climacteric Symptoms in Postmenopausal Women (에스트로젠 호르몬 대치요법이 혈압, 심박동변이, 갱년기증상에 미치는 효과)

  • Lee, Hae-Kyung
    • Korean Journal of Women Health Nursing
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    • v.8 no.2
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    • pp.151-164
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    • 2002
  • PURPOSE: Estrogen replacement therapy is indicated for the relief of hot flushes and urogenital atrophy, the prevention of osteoporosis and the reduction in risk of cardiovascular disease. The present study assessed by blood pressure, heart rate variability, and climacteric symptoms in menopausal women before treatment and at 1 month during estrogen replacement therapy. METHODS: The study sample consisted of 16 healthy menopausal women (range 49 to 59 years, mean : 53.4 years) attending menopausal clinics for the complaint of climateric symptoms at S. hospital in Chunchoen. They were all non-smokers and no patient had symptoms or evidence of cardiovascular disease. They took estrogen replacement therapy (conjugated estrogen 0.625 mg with or without medroxy progesteron 2.5mg) for 1 month. Blood pressure, heart rate variability(heart period and vagal tone) through ECG, and climacteric symptom were measured in all subjects before treatment and at 1 month during treatment. Climacteric symptom questionnaire which was developed by Neugarten et al.(1963) was modified with 20 items of question(Cronbach's alpha = 88 -.89). The data was collected from Sept. 1. 2000 to July. 30. 2001. RESULTS: There was no significant difference in mean systolic and diastolic pressure between the baseline and at 1 month during treatment. The mean heart period and vagal tone were slightly increased, but difference of mean heart period and vagal tone were not statistically significant between the baseline and at 1 month during treatment. The score of climacteric symptoms decreased significantly from the baseline after treatment. CONCLUSIONS: Even though, this study did not show that estrogen replacement therapy led decrease of blood pressure and increase heart rate variability, climacteric symptoms reduced much in all subjects after taking drugs. These results suggest that there is need to repeat study with long term period.

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Developing an Instrument to Measure Climacteric Symptoms among Korean and Japanese Women

  • Song Ae-Ri;Oishi Kazuyo;Suh Euy-Hoon;Miyahara Harumi;Nakajima Hisayoshi;Nakao Yuko;Araki Miyuki;Yamasaki Makiko
    • Journal of Korean Academy of Nursing
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    • v.36 no.4
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    • pp.637-644
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    • 2006
  • Purpose. The purpose of this study was to construct a measurement instrument for climacteric symptoms among Korean and Japanese women. Methods. From Dec. $1^{st}$ of 2003 to March $30^{th}$ of 2004, in-depth interviews were made with 26 women (15 in Jinju, Korea and 11 in Nagasaki, Japan) aged from 45 to 59 years who had not taken hormone replacement therapy to relieve the climacteric symptoms. A draft questionnaire with 45 items was constructed on the basis of the interview data and literature review. Three obstetricians, three PhDs in nursing science, and a chief nurse who was exclusively in charge of the climacteric management, examined the draft questionnaire to evaluate content validity. After deletions 39 items remained for a preliminary questionnaire. A survey was conducted by using a convenient sampling method in Jinju of Korea and Nagasaki of Japan during the period from April $1^{st}$, 2004 to July $10^{th}$, 2005. Results. Factor analysis identified 4 factors, which were 'mental and psychological symptoms', 'physical symptoms', 'loss of autonomic nervous system symptoms', 'sexual symptoms'. These four factors explained 46.9% of total variance. Conclusions. The results demonstrated that climacteric symptom scale was multidimensional, and the reliability and validity of the scale was supported.

Depression in Posit Menopausal Women

  • Lee, Young-Whee
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.471-477
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    • 2003
  • Purpose. This cross-sectional survey research was undertaken to examine the degree of depression in post-menopausal women and to analyze the factors affecting that depression. Method. 325 people from public health center in Inchon were surveyed as the subject of this study. Data collection was conducted through the use of questionnaires. Results. The above half of these sampled people were in depressed state (64.0%) and the mean score of depression was 12.71. There were significant differences in the depression state according to presence of spouse, economic level, exercise, and smoking. A positive correlation was found between depression and climacteric symptoms. Stepwise multiple regression analysis revealed that the most powerful predictor was climacteric symptom. Climacteric symptom, presence of spouse, smoking, and exercise accounted for 45 % of the variance in postmenopausal women's depression. Conclusion. Nurses are able to use these results to plan and implement nursing interventions for decreasing depression and consequent the improved quality of life in Korean postmenopausal women. Also, the nurses have to be more aware of the following groups; solitary women, low-income group and smokers, that they have higher mean score of depression.

A Study on the East-West Medicine Clinical Aspect of Climacteric Women Focusing on Hot Flush (안면홍조를 중심으로 한 갱년기 여성의 동서의학적 임상양상 연구)

  • Jang, Jun-Bock;Cho, Jung-Hoon;Lee, Kyung-Sub;Yoon, Young-Jin
    • The Journal of Korean Medicine
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    • v.29 no.4
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    • pp.180-193
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    • 2008
  • Objectives: We intended to identify factors related to the severity of hot flush of climacteric women from an East-West medical point of view. Methods: We surveyed 446 climacteric women who had received Korean oriental medical questionnaires about clinical symptom patterns and health medical examinations at Kyung-Hee University Medical Center over 1 year, from June 2007 to May 2008. Then, we compared hot flush with clinical symptom pattern and health medical examination result. Results: As the severity of hot flush increased, hypnagogic disorder in sleep pattern, abdominal gaseous distention in digestion pattern, tenesmus in evacuation pattern, yellow or reddish urine in voiding pattern, spontaneous sweating in sweating pattern, chest oppression in psychologic pattern, not-pulling-bedclothes in cold-heat pattern and mouth dryness in craniocervical symptom increased (p<0.05). In relation to digestion pattern, the severity of hot flush showed statistical significance according to prevalence of gastritis diagnosed by gastroscopy and upper GI series(p<0.01). In relation to voiding pattern, the severity of hot flush showed statistical significance according to prevalence of urine protein diagnosed by urinalysis (p<0.05). In relation to sweating, psychologic & cold-heat pattern, triiodothyronine (T3) increase and thyroid stimulating hormone (TSH) decrease were significantly correlated as the severity of hot flush increased (p<0.01). Conclusions: The result showed that hot flush of climacteric women had to be considered in respect of digestion disorder related to gastritis and sweating psychologic cold-heat disorder related to thyroid hormone.

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Relationship between Climacteric Symptoms and Sexual Satisfaction in Middle-aged Women (중년여성의 갱년기 증상과 성만족과의 관계 연구)

  • Cha Bo-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.3
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    • pp.283-291
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    • 2003
  • Purpose: This study was conducted to identify the relationship between climacteric symptoms and sexual satisfaction in middle-aged women. Method: Self-selection was used to recruit, for the study, 272 middle-aged women between 40 and 59 years of age from 2 metropolitan areas and 2 provinces in Korea. The questionnaire included information on demographic characteristics, climacteric symptoms and sexual satisfaction. Result: The results are as follows: 1. The mean/item climacteric symptom score was 1.91 and the mean sexual satisfaction score was 38.19.2. Climacteric symptoms were significantly influenced by age, education, economic status, frequency of abortions and menopausal status. Sexual satisfaction was influenced significantly by age, education, economic status and menopausal status. 3. There was a significant negative correlation between climacteric symptoms and sexual satisfaction (r=-.24, p =.0002). Conclusion: Sexuality should be considered when developing nursing strategies for middle-aged women, especially when dealing with climacteric symptoms.

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